Individual provider Active NPI

Meghan Thayer

  • Pediatric Registered Nurse
  • Middleboro, MA
National Provider Identifier
1740936566
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
2270728 Issued in MA
Practice address
84 Highland St
Middleboro, MA 02346-3427
Phone
(508) 245-1700
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 2270728 MA Primary

Addresses

Primary practice location

84 Highland St
Middleboro, MA 02346-3427

Mailing address

84 Highland St
Middleboro, MA 02346-3427

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mman406@regiscollege.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021003076 MA Practitioner - Nurse Practitioner 7416489091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2270728MAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnold, Inc. CurrentSince Sep 9, 2024 Accepting new patients

Locations

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1740936566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463427",
            "telephone_number": "508-245-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "MEGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "2270728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mman406@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "school email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "84 Highland St",
            "city": "Middleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023463427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

Verify at the official NPI Registry.